| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,601 |
22,764 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,560 |
4,945 |
$525K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,390 |
3,917 |
$501K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,676 |
905 |
$177K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
5,386 |
4,564 |
$114K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
2,919 |
949 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,715 |
1,241 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
649 |
630 |
$53K |
| 80053 |
Comprehensive metabolic panel |
1,064 |
953 |
$48K |
| 80061 |
Lipid panel |
812 |
743 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
218 |
204 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
821 |
716 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,311 |
1,200 |
$28K |
| 81003 |
|
3,143 |
2,521 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
615 |
562 |
$16K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
130 |
44 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
196 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
57 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
269 |
220 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
48 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
146 |
99 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
53 |
$2K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
54 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
42 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,260 |
1,133 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
25 |
$1K |
| 80305 |
|
120 |
87 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$818.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
54 |
$776.37 |
| 96136 |
|
17 |
15 |
$749.02 |
| D1120 |
Prophylaxis - child |
25 |
24 |
$672.52 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$529.92 |